NPI | 1346013364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203443) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 87754) |
Enumeration Date | 2023-11-01 |
Last Update Date | 2023-11-01 |